220 likes | 382 Views
Aboriginal Health & Healing. A CASTS presentation to Ottawa U School of Medicine September 18, 2008. CASTS Purpose & Mission. Purpose: CASTS was created to achieve greater Aboriginal representation in S&T occupations in Canada. Thus, our Mission is: to assist Aboriginal people in Canada
E N D
Aboriginal Health & Healing A CASTS presentation to Ottawa U School of Medicine September 18, 2008
CASTS Purpose & Mission Purpose: CASTS was created to achieve greater Aboriginal representation in S&T occupations in Canada. Thus, our Mission is: to assist Aboriginal people in Canada to enter, to remain, and to excel in Science and Technology while maintaining their traditional knowledge and culture.
We do this by • As a Federally incorporated not-for-profit since 1992, our volunteer board of Aboriginal scientists, engineers and educators from across Canada has been promoting science and technology careers and education by: • Using a database of members self identified as Aboriginal • Distributing a newsletter to members • Holding the CASTS Conference biennially (8X) • Hold Career Fairs devoted to Science an technology • Award CASTS Scholarship Program annually • Produce a Guide to Science and Technology education and careers in Canada for Aboriginal Students • Developing CASTS Chapters in schools • Promote S&T employment opportunities on our website
CASTS is a peer group for Aboriginal Scientists and engineers. • Our Chairperson is Carol Ann Budd • Ms. Budd is an Aboriginal chemical engineer • She is head of research for INVISTA Canada improving airbags to protect our lives and pretty faces • She has four kids....
Our location: KitiganZibiAnishinabeg • Near Maniwaki, Quebec about 2 hours on the 105 nord. • KZ Anishinabeg has 1800 members less than half live on the Rez • We work 4-6 nurses to death and social workers but NO full-time doctors YET...right Emily???
Aboriginal peoples in Canada A diverse array of languages, cultures and histories Major Language Families Ojibway Cree Other Algonquian Families Inuktitut Athapaskan (Siouan) Dakota Salish Tsimshian Wakashan Iroquoian Haida Tlingit Kutenai
Educational Attainment in Canada University Education (by census division) The further you have to travel to school, the tougher it is to leave! • Percentage of Population (aged 15 and over) • Less than 6% pale yellow • 6% - 9.9% -flesh tone • 10% - 20% - gold • Greater than 20% - red • Non-ecumene Population (sparsely populated areas)
The Treaties and Reserve creation Historical Indian Treaties Reserve creation saw the end of freedom for Aboriginal peoples • Numbered Treaties - green • Province of Canada Treaties - gold • Williams Treaties – flesh • Upper Canada Treaties -pale yellow • Area Peace and Friendship Treaties - ochre • Area Vancouver Island Treaty
Languages and Cultures at Risk Aboriginal survival prediction better the more remote you are. Index of Aboriginal Language Continuity (1996) 0 - 44.9 [low] 45 - 64.9 65 - 84.9 85 - 99.9 100 - 125 [high]
Aboriginal people & healthcare access Survival of languages and cultures at odds with geography Average Distance to the Nearest Family Physician, 1998 (km) • 0.50 - 4.99 pale yellow • 5.00 - 24.99 bright yellow • 25.00 - 49.99 Gold • 50.00 - 99.99 Orange • 100.00 - 808.28 Burgundy • Sparsely Populated Area – pale green
For Aboriginal peoples – where you practice matters.. Where you’re the only game in town Population-to-physician ratios, 1996 • 825:1 - 8901:1 Sage Green (eek no holidays ever) • 550:1 - 824:1 Grass Green • 275:1 - 549:1 Kelly Green • 244:1 - 274:1 Dk Green (low) • No Data
Health Behaviours / Smoking Habits in Aboriginal Communities Prevalence of smoking (%) 1996-97 We smoke most where we can get it easily and need to cope... • 24 - 26 Flesh tone • 27 - 29 Beige • 30 - 32 Cocoa • No data - grey
Obesity in Aboriginal communities.. Help I’m trapped on a reserve and vegetables are 3 weeks old! Population who were overweight (%), 1996-97 27 – 30 - pink 31 - 39 - lavender 40 - 42 - purple No data – grey Its also reallly cold in Labrador and southern Manitoba.
Young mothers and healthcare access Small babies and young mothers are in steady supply. Low birthweight, 1996 – mothers aged 15-19 years- 7.00 to 19.44% - Deep purple 6.00 to 6.99% -Purple 5.00 to 5.99% - lavender 4.00 to 4.99% Fuschia 0 to 3.99% Pale pink Insufficient data - grey
The western medicine and healing Health Science Aboriginal Healing • Presenting disease/illness • diagnosis • Evidence • Rational decision making • Client-centred care • Acute /chronic care • Pharmaceuticals • interventions
In Anishinabe – doctor and healer became different things... • Andokonini – meant a doctor usually a non-Aboriginal man who searches out disease or illness (usually a man whose function was a diagnostician) • Endawiwedj – a healer – designation of sex unimportant (both existed equally and their specific methods • Healing and the providing of the healing service was a gift of the Great Mystery – KitchiManido.
What you don’t see in stats: your role Aboriginal Healers Community support in Aboriginal communities Small communities and home care End of life care for chronic disease in Aboriginal communities Mental health supports Residential school healing efforts and its success Positive impact of centers like the Wabano Centre for Aboriginal Health (too few) • How many are left • How to find one practicing • How many speak the language affects knowledge • The amount of demand • What kind of sickness they are treating • The impact of loss of ceremonies and their return
Choices for the Future... “Me and the folks who buy my food are like the Indians – we just want to opt out. That’s all the Indians ever wanted – to keep their tee pees, to give their kids herbs instead of patent medicines and leeches. They didn’t care if there was a Washington D.C., or a Custer or a USDA; just leaves us alone. But the Western mind can’t bear the opt-out option. We’re going to have to re-fight the Battle of Little Bighorn to preserve the right to opt-out , or your grandchildren and mine will have no choice to eat amalgamated, irradiated, genetically prostituted, bar coded, adulterated fecal spam from the centralized processing conglomerate.” The Omnivore’s Dilemma – A Natural History of Four Meals MichealPollan “Keep in mind that in our rush to meet the future, we must be sure to keep the past. Without its foundation no structure stands for long.” Theodore L. Kazimiroff, The Last Algonquin.
Guess who is among us???? CASTS Scholar 2007-8 This guy is giving this lecture next time..... • Is a First Nation man • Is from Saddle Lake First Nation in Alberta • Trained as a nutritionist before coming to Ottawa U Med School • Is a National Aboriginal Health Organization role model • An all-around good guy
WWW.CASTS.CA Join us and come to Conference 2009!